Active NPI
Mervin J. Weis & Bruce L. Ferguson MD, SC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1821218793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MERVIN J. WEIS & BRUCE L. FERGUSON MD, SC
- Practice address
- 4640 N Marine Dr
Ste C 6100
Chicago, IL 60640-5719 - Phone
- (773) 769-4413
- Fax
- (773) 769-5140
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce L. Ferguson, MD
- Title
- Doctor
- Phone
- (773) 769-4413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
4640 N Marine Dr
Ste C 6100
Chicago, IL 60640-5719
Mailing address
4640 N Marine Dr
Ste C 6100
Chicago, IL 60640-5719
Phone (773) 769-4413
National Provider Directory
National Provider DirectoryLocations
4640 N Marine Dr
Ste C
Chicago, IL 60640
Phone (773) 769-4413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821218793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4640 N MARINE DR",
"address_2": "STE C 6100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405719",
"telephone_number": "773-769-4413",
"fax_number": "773-769-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 N MARINE DR",
"address_2": "STE C 6100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405719",
"telephone_number": "773-769-4413",
"fax_number": "773-769-5140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERVIN J. WEIS & BRUCE L. FERGUSON MD, SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "773-769-4413",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.